Embodied Art Therapy and Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EMBODIED ART THERAPY AND COUNSELING PLLC

Practice address

8400 N Mopac Expy Ste 301
Austin, TX 78759-8323

Phone

(512) 503-5030

NPI assigned

May 19, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mallory Kathleen Keeks, LPC, ATRNPI 1295294874

Title

Owner/Art Therapist and Counselor

Phone

(512) 503-5030

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mallory Kathleen Keeks, LPC, LMHC, ATR

  • Professional Counselor
  • Austin, TX
  • NPI 1295294874
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1851038863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8400 N MOPAC EXPY STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8400 N MOPAC EXPY STE 301",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787598323",
            "telephone_number": "512-503-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED ART THERAPY AND COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "KEEKS",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/ART THERAPIST AND COUNSELOR",
        "authorized_official_telephone_number": "512-503-5030",
        "authorized_official_credential": "LPC, ATR"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John Austin Embers, MD
• Embodied Psychotherapy, LLC
• Embodied Self Psychotherapy, PLLC
• Embracing Minds Counseling, LLC
• Lisa Embree, P.T.
• Beverly Dawn Embry, CRNA

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.